Cadiz Family Care Clinic, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31208 Issued in KY

Legal business name

CADIZ FAMILY CARE CLINIC, LLC

Practice address

261 Main St
Cadiz, KY 42211-6125

Phone

(270) 522-9697

Fax

(270) 522-9698

NPI assigned

Sep 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Catherine R. Galla, M.D.

Title

Physician/Owner

Phone

(270) 522-9696

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1881844926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422116125",
            "telephone_number": "270-522-9697",
            "fax_number": "270-522-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422116125",
            "telephone_number": "270-522-9697",
            "fax_number": "270-522-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADIZ FAMILY CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "GALLA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "270-522-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64312085",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Beach, APRN
• Carla June Benbrook, COTA/L
• Better Senior Living I LLC
• David B Bostick III
• Jinna-Lee Bower, RN ARNP
• Cadiz Health Facilities LP (Shady Lawn Nursing and Rehabilitation Center)
• Crisann Leigh Chandler, SLP-CCC
• Richard Glenn Clement, R. PH
• Kelly Cloern, PTA
• Terah Nicole Cofield, APRN

• Internal Medicine Physician in Cadiz, KY
• Providers in Cadiz, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.